How To Use HCPCS Code A4467

HCPCS code A4467 describes a belt, strap, sleeve, garment, or covering of any type. This code is used to identify a specific item that is not covered by Medicare. It was added to the Healthcare Common Procedure Coding System on January 01, 2017, and has a pricing indicator code of 00, which means that the service is not separately priced by Part B. In this article, we will explore the details of HCPCS code A4467, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare coverage.

1. What is HCPCS A4467?

HCPCS code A4467 is used to identify a belt, strap, sleeve, garment, or covering of any type. This code is specific to a particular item and is not applicable to other services or supplies. It is important to use this code accurately to ensure proper billing and documentation.

2. Official Description

The official description of HCPCS code A4467 is “Belt, strap, sleeve, garment, or covering, any type.” The short description for this code is “Belt strap sleev grmnt cover.” These descriptions provide a clear understanding of the item that is being identified by this code.

3. Procedure

1. The provider should identify the need for a belt, strap, sleeve, garment, or covering for the patient.
2. Select the appropriate type of item based on the patient’s condition and requirements.

4. When to use HCPCS code A4467

HCPCS code A4467 should be used when providing a belt, strap, sleeve, garment, or covering of any type to a patient. This code is applicable in various medical situations where such items are necessary for the patient’s well-being or treatment. It is important to review the specific guidelines and eligibility criteria for using this code to ensure accurate billing.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A4467, healthcare providers need to document the provision of the item in the patient’s medical record. This documentation should include the type of item provided, the reason for its use, and any relevant details regarding fitting or usage instructions. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code A4467 was added to the Healthcare Common Procedure Coding System on January 01, 2017. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. It is important to stay updated on any changes or revisions to this code to ensure accurate coding and billing.

7. Medicare and Insurance Coverage

HCPCS code A4467 is classified as non-covered by Medicare, as indicated by the coverage code M. This means that Medicare does not provide reimbursement for this specific item. It is important to check with other insurance providers to determine their coverage policies for HCPCS code A4467. The pricing indicator code for this code is 00, which indicates that the service is not separately priced by Part B.

8. Examples

Here are five examples of when HCPCS code A4467 should be billed:

1. A patient with a fractured arm requires a supportive sleeve for immobilization.
2. A post-surgical patient needs a compression garment for improved circulation.
3. A patient with a back injury requires a supportive belt for pain management.
4. A patient with a chronic condition needs a specialized strap for joint stabilization.
5. A patient with a skin condition requires a covering garment for protection.